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BROADWAY MALL DENTAL, P.C.

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Company Details

Name: BROADWAY MALL DENTAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Jun 2005 (20 years ago)
Entity Number: 3222560
ZIP code: 11801
County: Nassau
Place of Formation: New York
Address: 200 BROADWAY MALL, HICKSVILLE, NY, United States, 11801

Contact Details

Phone +1 516-933-3444

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
IGOR LEVIN Chief Executive Officer 200 BROADWAY MALL, HICKSVILLE, NY, United States, 11801

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 200 BROADWAY MALL, HICKSVILLE, NY, United States, 11801

National Provider Identifier

NPI Number:
1225183551

Authorized Person:

Name:
IGOR LEVIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
5169333445

History

Start date End date Type Value
2024-09-26 2024-09-26 Address 200 BROADWAY MALL, HICKSVILLE, NY, 11801, USA (Type of address: Chief Executive Officer)
2007-07-27 2024-09-26 Address 200 BROADWAY MALL, HICKSVILLE, NY, 11801, USA (Type of address: Chief Executive Officer)
2007-07-27 2024-09-26 Address 200 BROADWAY MALL, HICKSVILLE, NY, 11801, USA (Type of address: Service of Process)
2005-06-23 2007-07-27 Address 380 SUNRISE MALL, MASSAPEQUA, NY, 11758, USA (Type of address: Service of Process)
2005-06-23 2024-09-26 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240926001812 2024-09-26 BIENNIAL STATEMENT 2024-09-26
130717002519 2013-07-17 BIENNIAL STATEMENT 2013-06-01
110614003133 2011-06-14 BIENNIAL STATEMENT 2011-06-01
090703002146 2009-07-03 BIENNIAL STATEMENT 2009-06-01
070727003009 2007-07-27 BIENNIAL STATEMENT 2007-06-01

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$63,612
Date Approved:
2021-02-24
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$63,612
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$64,307.38
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $63,607
Utilities: $1
Jobs Reported:
14
Initial Approval Amount:
$52,077
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$52,077
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$52,943.05
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $52,077

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State